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Published on: March 3, 2023
Radiofrequency assisted liver resection: analysis of 604 consecutive cases
M Pai1, A E Frampton, S Mikhail
1HPB Surgical Unit, Department of Surgery and Cancer, Imperial College, Hammersmith Hospital Campus, Du Cane Road, London W12 0HS, UK.
Summary
Radiofrequency (RF) assisted liver resection using the Habib 4X device significantly reduces intraoperative blood loss and transfusion rates. This technique improves outcomes for both major and minor hepatectomies, lowering mortality and morbidity.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgical Techniques
- Radiofrequency Ablation
Background:
- Intraoperative blood loss is a critical factor in liver surgery morbidity and mortality.
- A novel bipolar radiofrequency (RF) device, the Habib 4X, was developed for hepatic parenchymal transection.
- Prospective assessment of peri-operative data for RF-assisted liver resection was initiated.
Purpose of the Study:
- To evaluate the safety and efficacy of the Habib 4X device in liver resections.
- To assess peri-operative outcomes, including blood loss and transfusion requirements.
- To determine the impact of RF-assisted liver resection on patient morbidity and mortality.
Main Methods:
- A prospective study involving 604 patients undergoing liver resections between 2001 and 2010.
- Utilized the bipolar radiofrequency (RF) Habib 4X device for hepatic parenchymal transection.
- Collected and analyzed clinico-pathological and outcome data.
Main Results:
- Median intraoperative blood loss was 155 ml (range 0-4300 ml) with a 12.6% transfusion rate.
- 23.5% of patients experienced postoperative complications; no bleeding occurred at the resection margin.
- Liver failure occurred in one patient, and the overall mortality rate was 1.8%.
Conclusions:
- RF-assisted liver resection enables major and minor hepatectomies with minimal blood loss.
- The technique is associated with low blood transfusion requirements.
- Reduced mortality and morbidity rates are observed with RF-assisted liver resection.
